There seem to be two explanations for Donald Trump’s attacks on the courts, media, and objective reality: 1) He’s a whining, self-pitying baby who simply can’t stand it when he doesn’t immediately get his own way; 2) He wants to pull a full-Stalin by undermining the institutions that stand in his way — the judiciary and free press — and by creating a false reality in which his followers simply accept his bald-faced lies and self-contradictory statements while ignoring abundant and immediately presented contradictory evidence.

These two explanations are not mutually exclusive; both are probably correct.

So, what do we have to look forward to from Trump and his Republican enablers?

Repeal of the Affordable Care Act without anything approaching an adequate replacement. Trump and the congressional Republicans will almost certainly take their cues from the insurance industry and big pharma, making healthcare less available and more expensive for the vast majority of people. Probability: Virtually certain.

Assaults on Social Security, Medicare, and Medicaid. Congressional Republicans will push for “entitlement reform” (never mind that people paid for these things through payroll taxes), which will amount to at the very least reduction in cost-of-living increases for Social Security and reduction of benefits for Medicare and Medicaid recipients, and more stringent eligibility requirements for Medicaid recipients. Probability: Virtually certain.

Full-scale privatization of Social Security and Medicare. The more ideological (read Ayn Rand worshiping) Republicans, such as Paul Ryan, will push hard for this. If this happens, they’ll likely sell it by leaving a weakened Social Security system and Medicare in place for those over 45 or 55, and privatizing both for those under those age limits. This would result in not only younger people losing those benefits in decades to come, but also resentment among them at paying for benefits for older people which they themselves won’t get. Probability: All too possible.

Increased voter suppression. The Republicans have used entirely manufactured scare stories about “massive voter fraud” at the ballot box, while providing no evidence whatsoever of it, to push through restrictive laws in states across the country that make it more difficult to register to vote (e.g., among the elderly without photo ID and the poor who don’t have cars who’d have to travel to get state ID) and to cast ballots (restricting early voting). This has resulted in the disenfranchisement, at minimum, of hundreds of thousands of voters, and more likely millions of voters. Now, the Republicans seem poised to do this on a national scale. They’re unpopular (look at their approval ratings), desperate to hang onto power, and are very obviously willing to do anything to retain it, including betraying America’s (supposed) democratic principles. Probability: Very, very high.

Use of a terrorist incident to suppress civil liberties. The chance of Trump creating a “false flag” terrorist incident are low, simply because of Trump and accomplices’ overall incompetence and the outright loathing the intelligence agencies have for Trump; they very probably wouldn’t allow him to get away with this. On the other hand, if there’s continued instability in the Trump Administration, and continued appointment of the grossly incompetent to decision-making positions, it’s all too possible, in part because Trump is playing into ISIS’s and Al-Qaeda’s hands through his fear-mongering rhetoric and Muslim ban. If there were a major terrorist incident, we can expect demonization of all critical voices and opposition movements, legislation restricting freedom of the press, freedom of speech, and freedom of assembly. Probability: Likely under 50/50, but only because of the professionals in the intelligence agencies.

Worsening economic inequality. Trump’s economic policies overall, basically trickle-down economics (or as Jim Hightower puts it, “tinkle-down” economics), will result in continued and worsening economic inequality. Lowering taxes on the rich and corporations will do nothing to create new jobs, because demand creates jobs, not “job creators.” When low- and middle-income people receive more money, they spend almost all of it on food, consumer goods, utilities, and services — they have to. This creates jobs. When the rich receive more money, they spend it on stock buybacks, real estate (among other things, driving up the cost of housing), and luxury goods, such as yachts. This creates very few jobs. And this is the direction in which billionaire, entitled-heir Trump is headed. Probability: Virtually certain.

Continued scapegoating, fear-mongering, and demonization of all opposition. The Clintons, Barack Obama, and the other corporate Democrats paved the way for Trump’s success through their betrayal of those who elected them, through their abject servility to the corporate elite; this resulted in long-simmering anger among working and middle class people. Trump has taken full advantage of this anger and will continue to do so. Probability: Certain.